Nagaokakyo City: child medical expense subsidy
In Nagaokakyo City, Kyoto Prefecture, the child medical expense subsidy covers outpatient care through the end of the fiscal year in which the child turns 15 (end of junior high school) and inpatient care through the end of the fiscal year in which the child turns 18 (end of high-school age). Income limit: none. Co-payment: yes. (As of April 1, 2025, Children and Families Agency survey.)
Nagaokakyo City does not meet coverage through age 18 and no co-payment of the three conditions (coverage through age 18, no income limit, no co-payment). In Kyoto Prefecture, 8 of 26 municipalities meet all three.
Municipalities call this program by different names (小児医療費助成, こども医療費助成, 乳幼児医療費助成, 子育て支援医療). This site uses the national survey's term, "child medical expense subsidy".
- Covered until (Outpatient)
- Age 15(April 1, 2025)
- Covered until (Inpatient)
- Age 18(April 1, 2025)
- Income limit
- No(April 1, 2025)
- Co-payment
- Yes(April 1, 2025)
- Coverage through age 18
- No (outpatient to Age 15, inpatient to Age 18)(April 1, 2025)
- Population
- 82,218(Resident register, 2024)
- Share under 15
- 13.7%(2020 census)
For applications, refunds and visits outside the prefecture, check the official website of Nagaokakyo City.
Child medical expense subsidy
| Item | Outpatient | Inpatient |
|---|---|---|
| Covered until | Age 15 through the end of the fiscal year in which the child turns 15 (end of junior high school) | Age 18 through the end of the fiscal year in which the child turns 18 (end of high-school age) |
| Income limit | No | No |
| Co-payment | Yes | Yes |
No change since April 1, 2024
Source: Children and Families Agency, Survey on Municipal Child Medical Expense Subsidies (municipal form, attachment 3) (As of April 1, 2025). Last checked September 24, 2026
The national survey records conditions as of April 1 and is published in December. Some municipalities have expanded coverage since then. Confirm the current conditions on the municipality's official website.
Frequently asked questions
Until what age does Nagaokakyo City subsidize child medical expenses?
Outpatient care is covered through the end of the fiscal year in which the child turns 15 (end of junior high school) and inpatient care through the end of the fiscal year in which the child turns 18 (end of high-school age) (as of April 1, 2025).
A co-payment is charged at the counter.
Are high school students covered in Nagaokakyo City?
Outpatient coverage ends through the end of the fiscal year in which the child turns 15 (end of junior high school), so high school students are not covered for outpatient care, but inpatient care is covered through the end of the fiscal year in which the child turns 18 (end of high-school age).
Does Nagaokakyo City apply an income limit?
No (as of April 1, 2025).
Do the conditions differ between outpatient and inpatient care in Nagaokakyo City?
Yes. Outpatient care is covered through the end of the fiscal year in which the child turns 15 (end of junior high school) (income limit: no; co-payment: yes); inpatient care is covered through the end of the fiscal year in which the child turns 18 (end of high-school age) (income limit: no; co-payment: yes).
Has Nagaokakyo City changed its conditions since last year?
No. The national surveys as of April 1, 2024 and April 1, 2025 record the same conditions.
How does Nagaokakyo City compare with other municipalities in Kyoto Prefecture?
Nagaokakyo City does not meet coverage through age 18 and no co-payment of the three conditions (coverage through age 18, no income limit, no co-payment). In Kyoto Prefecture, 8 of 26 municipalities meet all three.
If I move out of Nagaokakyo City, do the same conditions apply?
No. The subsidy is run by the municipality you live in, so the new municipality's conditions apply. Check its page on this site, and confirm the procedure on that municipality's official website.
Municipalities of similar size in Kyoto Prefecture: Kyoto City, Uji City, Kameoka City, Kizugawa City, Maizuru City, Fukuchiyama City, Joyo City
Nursery and after-school club waiting lists in Nagaokakyo City
Nagaokakyo City had 0 children on the nursery waiting list as of April 1, 2026 (2,196 applicants, 2,076 enrolled; 0 waiting a year earlier). After-school clubs had 0 children waiting as of May 1, 2026 (preliminary; 1,419 registered).
| Item | Value | As of |
|---|---|---|
| Nursery waiting list | 0 | Apr 1, 2026 |
| Waiting list a year earlier (April 1, 2025) | 0 | Apr 1, 2025 |
| Nursery applicants | 2,196 | Apr 1, 2026 |
| Children enrolled in nurseries | 2,076 | Apr 1, 2026 |
| After-school club waiting list | 0 | May 1, 2026 (prelim.) |
| After-school club registrations | 1,419 | May 1, 2026 (prelim.) |
"Waiting" follows the national definition: applicants not enrolled, excluding those on parental leave, those who want only a specific facility, and those who have paused their job search. Zero does not guarantee a place at a preferred facility. After-school club figures are preliminary and may be revised.
Source: Children and Families Agency, Summary of Nursery Care Status (April 1, 2026) / Children and Families Agency, Status of After-School Clubs (May 1, 2026, preliminary)
Parks, libraries, community centers and nursery schools in Nagaokakyo City
Nagaokakyo City has 291 urban parks (26.5 ha), or 3.2 m² per resident (Rank 22 of 26 in the prefecture). It has 1 libraries, 1 community centers, 12 nursery schools and 10 elementary schools.
Urban parks: MLIT inventory as of March 31, 2025. Libraries and community centers: e-Stat, 2021. Nursery and elementary schools: e-Stat.
| Item | Value | Rank in prefecture | As of |
|---|---|---|---|
| Urban parks | 291 | Rank 2 of 26 in the prefecture | Mar 31, 2025 |
| Urban park area | 26.5 ha | — | Mar 31, 2025 |
| Urban park area per residentDivided by the population of the city-planning area (MLIT's calculation) | 3.2 m² | Rank 22 of 26 in the prefecture | Mar 31, 2025 |
| Libraries | 1 | Rank 20 of 26 in the prefecture | 2021 |
| Community centers | 1 | — | 2021 |
| Nursery schools | 12 | Rank 15 of 26 in the prefecture | 2023 |
| Kindergartens | 5 | — | 2024 |
| Elementary schools | 10 | — | 2024 |
Source: MLIT, Inventory of Urban Parks (end of FY2024, as of March 31, 2025) / e-Stat, Statistical Observations of Municipalities 2026 (Statistics Bureau of Japan)
Population, share of children, net migration and doctors in Nagaokakyo City
- PopulationResident register, 2024
- 82,218Rank 4 of 26 in the prefecture2024
- Share under 15
- 13.7%Rank 6 of 26 in the prefecture2020 census
- Share 65 and over
- 27.3%2020 census
- Share of foreign residents
- 0.8%2020 census
- Net migration (move-ins minus move-outs)2024. A positive number means more people moved in than moved out
- +85Rank 3 of 26 in the prefecture2024
- Births per 1,000 residents
- 7.4Rank 2 of 26 in the prefecture2023
- Nursery schools
- 122023
- Nursery schools per 1,000 children under 15
- 1.08Rank 15 of 26 in the prefecture2023
- Kindergartens
- 52024
- Elementary schools
- 102024
- Doctors per 10,000 residents
- 25.1Rank 6 of 26 in the prefecture2022
- Clinics per 10,000 residents
- 8.62023
- General hospitals
- 42023
- Owner-occupied homes
- 73.2%2023
- Floor area per dwelling
- 85.4 m²2023
- Fiscal strength indexAbove 1 means local tax revenue covers standard spending
- 0.78Rank 3 of 26 in the prefecture2022
- Restaurants
- 2172021
Source: e-Stat, Statistical Observations of Municipalities 2026 (Statistics Bureau of Japan)
"—" means e-Stat has no value for this item (the Housing and Land Survey does not cover towns and villages).
Compare with similar-sized municipalities in Kyoto Prefecture
| Municipality | Population | Outpatient until | Income limit | Co-payment (outpatient / inpatient) | Nursery waiting list |
|---|---|---|---|---|---|
| Nagaokakyo City | 82,218 | Age 15 | No | Yes / Yes | 0 |
| Kyoto City | 1,373,887 | Age 15 | No | Yes / Yes | 0 |
| Uji City | 179,582 | Age 15 | No | Yes / Yes | 0 |
| Kameoka City | 86,209 | Age 18 | No | No / No | 14 |
| Kizugawa City | 79,339 | Age 18 | No | Yes / Yes | 0 |
| Maizuru City | 75,322 | Age 18 | No | Yes / Yes | 0 |
| Fukuchiyama City | 74,540 | Age 15 | No | Yes / Yes | 0 |
| Joyo City | 73,321 | Age 15 | No | Yes / Yes | 0 |
Outpatient age limit, income limit and co-payment are the national survey values as of April 1, 2025.
Page updated: . You may quote this table. Please credit Machishirabe and the original survey.